Dr Sandeep Kumar Walia, MD - Medicare Gastroenterology in Belleville, IL

Dr Sandeep Kumar Walia, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Belleville, Illinois. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 4550 Memorial Dr Ste 260, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 767-3235.

Dr Sandeep Kumar Walia is licensed to practice in Illinois (license number 036171354) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467763607.

Contact Information

Dr Sandeep Kumar Walia, MD
4550 Memorial Dr Ste 260,
Belleville, IL 62226-5372
(618) 767-3235
(618) 624-4992

Map and Direction




Physician's Profile

Full NameDr Sandeep Kumar Walia
GenderMale
SpecialityGastroenterology
Experience14 Years
Location4550 Memorial Dr Ste 260, Belleville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sandeep Kumar Walia graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1467763607
  • Provider Enumeration Date: 06/22/2010
  • Last Update Date: 09/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264665751
  • Enrollment ID: I20160603000676

Medical Identifiers

Medical identifiers for Dr Sandeep Kumar Walia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467763607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301096843 (Michigan)Secondary
207RG0100XInternal Medicine - Gastroenterology 4301096843 (Michigan)Secondary
207RG0100XInternal Medicine - Gastroenterology 036171354 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Spectrum Health PennockHastings, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471590

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sandeep Kumar Walia allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandeep Kumar Walia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sandeep Kumar Walia, MD
660 Mason Ridge Center Dr Ste 300,
Saint Louis, MO 63141-8512

Ph: (314) 448-3791
Dr Sandeep Kumar Walia, MD
4550 Memorial Dr Ste 260,
Belleville, IL 62226-5372

Ph: (618) 767-3235

Reviews and Comments


Internal Medicine Doctors in Belleville, IL

Dr. Dennis P Larson, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221
Phone: 618-235-1510    Fax: 618-235-1502
Kathleen K Fournier, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226
Phone: 618-222-9999    Fax: 618-222-9337
Eldon Trame, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223
Phone: 618-234-0640    Fax: 314-851-4475
Anand P. Patel, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    
Eduardo Martinez-barrios, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226
Phone: 618-233-2220    Fax: 618-233-2555
Kashif Shahzad Bhutto, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226
Phone: 618-233-2220    Fax: 618-233-2555
Dr. David Nelson Pfohl, MD, FACP, GAQ
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223
Phone: 618-604-6518    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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